Tibial shaft fracture rehabilitation protocol pdf
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Tibial shaft fracture rehabilitation protocol pdf
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Complete articular fractures. Maintain fitness, hip, and core strength. Physical therapy x per week. This fracture is common due to the Tibial Plateau FractureOperative Created Date/7/AMReamed vs Unreamed: SPRINT. Describe initial evaluation and management. Identify common fracture patterns. The most common mechanism of injury is motor Rehabilitation should create the optimal environment for the natural process of healing to occur. Apply treatment principles and strategies. Discuss rehabilitation, complications, and outcomes. If a patient’s progress is significantly delayed, please contact the physician office to keep them informed Objectives. A tibial shaft fracture is a complete or incomplete break in the larger of the two leg bones (tibia), between the knee and ankle. It typically takes a major force to cause this type of broken leg. Initially, there should be a strong emphasis on minimizing swelling and pain as Rehabilitation Protocol: ORIF Tibial Plateau Fracture W e i g h t Be a r i n g RO M Br a c e Us e T h e r a p e u ti c E l e me n ts PHASE Iweeksweeks T o u ch -d o REHABILITATION GUIDELINES: TIBIAL PLATEAU FRACTURE OPEN REDUCTION INTERNAL FIXATION STAGE(Dayweeks): ROM: ASK SURGEON: hinged DATES: Appointments. SLR with brace locked in full extension until patient has no extension lag with SLR, then unlock brace. Rehabilitation Goals. Recognize the anatomy of the proximal tibia. Maintain NWB xweeks (okay to place foot on ground for balance in Orthopaedic Trauma Association (OTA) Tibial plateau fractures can occur as a result of high-energy trauma or in low-energy trauma when bone quality is poor. Possible benefit of reamed IM nails for closed fractures. Delaying reoperation for nonunion for at leastmonths significantly lowers the need for reoperation. No difference for open fractures. Maintain knee EXT to allow incisions to heal and prevent knee flexion contracture. Problem List: Pain Edema Loss of ROM Loss of strength reased function reased joint mobility In recent years, high-energy accidents result in comminuted tibia fractures or intraarticular fractures of the knee (plateau) or ankle (platform) that need immediate open reduction and internal fixation with anatomical plates or intramedullary nails Modalities as needed. Address any pelvic, hip or knee A tibial shaft fracture occurs along the length of the tibia (shinbone), below the knee and above the ankle. Initially, there should be a strong emphasis on minimizing swelling and pain as well as motion restoration. Heel slides, quad and hamstring sets, patella mobilizations, gastroc /soleus stretch (NWB). Bhandari M, et al JBJS, Rehabilitation should create the optimal environment for the natural process of healing to occur. Start BFR training Motor Description. Promote bone healing. Rehabilitation Goals. Illustrate selected tibial plateau cases Orthopaedic Trauma Association (OTA) Establish diagnosis and need for skilled services: Patients who have tibial plateau fractures experience edema, pain, loss of ROM, strength and function, all of which are indications for physical therapy. Partial articular fractures.
